Provider Demographics
NPI:1972851699
Name:VELEZ-ROSADO, DAELY B (PSYD)
Entity Type:Individual
Prefix:
First Name:DAELY
Middle Name:B
Last Name:VELEZ-ROSADO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6017
Mailing Address - Street 2:PMB 532
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984
Mailing Address - Country:US
Mailing Address - Phone:787-936-0858
Mailing Address - Fax:
Practice Address - Street 1:CALLE FERNANDEZ JUNCOS EDIFICIO VANESSA B-5
Practice Address - Street 2:URB ROSA MARIA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-936-0858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-28
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5622103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical